Richard Joseph Provenzano, M.D.

NPI #1962456905 in Bennington, Vermont

Provider Information

NPI Number: 1962456905
Entity Type: Individual
Name: Richard Joseph Provenzano, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Ophthalmology
Credential: M.D.
Enumeration Date: May 22, 2006
Last Updated: Mar 30, 2018

Practice Location

Address: 322 DEWEY ST
City: Bennington
State: Vermont
ZIP Code: 05201-2225
Phone: (802) 447-8700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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